| NPI | 1508261652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE B ALLEN Owner/Member 805-965-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A81775) |
| Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: CA A81775) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2015-05-05 |